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银屑病关节炎的临床、免疫发病机制及治疗方面

Clinical, immunopathogenic, and therapeutic aspects of psoriatic arthritis.

作者信息

FitzGerald O, Kane D

机构信息

Department of Rheumatology, St. Vincent's Hospital, Dublin, Ireland.

出版信息

Curr Opin Rheumatol. 1997 Jul;9(4):295-301. doi: 10.1097/00002281-199707000-00004.

DOI:10.1097/00002281-199707000-00004
PMID:9229175
Abstract

Psoriatic arthritis is a common chronic rheumatic disease that may result in considerable joint damage if left untreated. Recent clinical studies have focused on the identification of poor prognostic factors. Early, aggressive treatment is indicated in patients with significant joint inflammation and certain HLA antigens. Immunopathogenic evidence continues to point toward an HLA class I-mediated disease with perhaps an important role for CD8+ T cells. Although few basic research publications discuss psoriatic arthritis, studies in the areas of spondyloarthropathy and psoriasis continue to shed light on disease mechanisms. Greater collaboration is advocated among researchers in these areas and those interested in achieving a better understanding of the disease pathogenesis of psoriatic arthritis.

摘要

银屑病关节炎是一种常见的慢性风湿性疾病,如果不进行治疗,可能会导致严重的关节损伤。最近的临床研究集中在识别不良预后因素。对于有明显关节炎症和某些 HLA 抗原的患者,建议尽早进行积极治疗。免疫病理学证据继续指向一种由 HLA I 类介导的疾病,CD8+ T 细胞可能起重要作用。尽管很少有基础研究出版物讨论银屑病关节炎,但脊柱关节病和银屑病领域的研究继续为疾病机制提供线索。提倡这些领域的研究人员与那些有兴趣更好地理解银屑病关节炎发病机制的人员之间加强合作。

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引用本文的文献

1
A randomised, double blind, placebo controlled, multicentre trial of combination therapy with methotrexate plus ciclosporin in patients with active psoriatic arthritis.一项针对活动性银屑病关节炎患者的甲氨蝶呤联合环孢素联合治疗的随机、双盲、安慰剂对照、多中心试验。
Ann Rheum Dis. 2005 Jun;64(6):859-64. doi: 10.1136/ard.2004.024463. Epub 2004 Nov 4.
2
Release of cartilage and bone macromolecules into synovial fluid: differences between psoriatic arthritis and rheumatoid arthritis.软骨和骨大分子释放至滑液中:银屑病关节炎与类风湿关节炎的差异
Ann Rheum Dis. 2001 Jan;60(1):27-31. doi: 10.1136/ard.60.1.27.